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Next Update: Friday, April 26, 2024 12:00 PM CDT

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JAQUEZ, IRIS
Practice Address: 2025 S GORDON COOPER DRIVE
SHAWNEE OK 74801

Address last updated on 11/7/2023
Phone #:
Fax #:
County: POTTAWATOMIE
License: 654
Dated: 2/19/2013
Expires: 10/31/2014
Temp. Ltr. Issued: 11/8/2012
Temp. Ltr. Expires: 3/8/2013
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
2025 S GORDON COOPER DRIVE
SHAWNEE OK 74801

Phone #:
Fax #:

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